Great question! Here's a clear comparison of smoking vs. vaping, especially in the context of surgical and skin health (like facelift outcomes): Smoking (Tobacco) WORSE overall Key Harms: Just How Harmful Is Vaping? More Evidence Is Emerging. The New York Times Vaping vs. Smoking: Is One Really Safer Than the Other? Is Vaping Safer than Smoking? New Directions for Women Vapes Vs Cigarettes Is Vaping Worse Than Smoking? Hartford HealthCare E Cigarettes (Vapes) Smoking and Tobacco Use CDC